Phaedra Mclin, NP in Purvis, MS - Medicare Nurse Practitioner

Phaedra Mclin, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Purvis, Mississippi. Her current practice location is 823 Highway 589, Purvis, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 794-0100.

Phaedra Mclin is licensed to practice in Mississippi (license number R856419) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801298278.

Contact Information

	Phaedra Mclin, NP
	823 Highway 589, Purvis, MS 39475-4194
	(601) 794-0100
	(601) 794-0247

Map and Direction

Provider's Profile

Full Name	Phaedra Mclin
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	823 Highway 589, Purvis, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801298278
Provider Enumeration Date: 09/17/2014
Last Update Date: 04/17/2023

Medicare PECOS Information:

PECOS PAC ID: 5193947455
Enrollment ID: I20141121000319

Medical Identifiers

Medical identifiers for Phaedra Mclin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801298278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R856419 (Mississippi)	Primary
363LF0000X	Nurse Practitioner - Family	R856419 (Mississippi)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Phaedra Mclin allows following entities to bill medicare on her behalf.

Entity Name	Medical Systems Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740555267 PECOS PAC ID: 5092964643 Enrollment ID: O20131024001113

Entity Name	Behavioral Consultant Solutions, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275282311 PECOS PAC ID: 1951777572 Enrollment ID: O20221021001154

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phaedra Mclin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Phaedra Mclin, NP 823 Highway 589, Purvis, MS 39475-4194 Ph: (601) 794-0100	Phaedra Mclin, NP 823 Highway 589, Purvis, MS 39475-4194 Ph: (601) 794-0100

Reviews and Comments

Nurse Practitioner Nurses in Purvis, MS

Susan M Sicotte, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392
Jamila Annice Spinks, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100
Suzanne Cox, CFNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 Fax: 601-794-0130
Misty Jones Barrett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100
Kimberly Woods, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100
Sarah M Tucker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8068 Fax: 601-794-5650

Phaedra Mclin, NP - Medicare Nurse Practitioner in Purvis, MS